...Arizona: NRS-430V-0500 November 07th, 2012 Introduction: Recent studies have shown that nursing practices and quality of overall patient care, have a direct link to the quality and level of nursing education. Today’s nursing education must be able to meet the demands, challenges and needs of a modern healthcare. According to the (AACN) Facts Sheets: It approaches today’s nursing workforce with researches, relating education to outcomes, and also outline the capacity and preparedness of four year college, as means of improving the level of education in the United States. The definition, history and competencies of BSN and ADN degrees are discussed below: Associate Degree in Nursing (ADN): An associate degree in nursing, on average requires from two to three years of formal education. ADN predominately prepares nurses for bedside patient care, in a healthcare facilities such as hospitals and long-term care. It is usually offered by community and junior colleges, and some nursing schools. Students with an ADN, meet academic requirement for NCLEX-RN exam, and are eligible for license as R.N. The ADN was started by Dr. Mildred Montag in 1951, as WWII was ending. This was an important and necessary step, in order to deal with critical nursing shortage-post WWII. This shortage was created by two factors: Nursing was still dominantly military profession (War oriented) and many nurse professionals did not remain...
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... The goal of nursing home is to provide the best care for the people as well as nourishing the spirit of the residents and staffs in a similar manner. It is also true that nursing homes are places that undergo regular changes where residents and workers come and go, equipment are modernized frequently; staffs adopt new ways of delivering better care, and new regulations are introduced. Nursing home organization are home-based health care and social services, by formal and informal caregivers using appropriate technology within a balanced and affordable continuum of care (Mitchell, 1989). Thus, to improve the performance of nursing home organization means adapting to changes and learning the new ways of service delivery as a team and as an organization. In response to interest of nursing home in a research focusing on the group behavior of their organization, it is appropriate to develop a survey on patient safety. Patient safety becomes a critical component of home-based health care quality. As nursing home organizations continue to work towards improvement of their services, there is a need to recognize the importance of establishing a safety culture. Achieving the safety culture requires an understanding of the values and what is important to the organization, as well as appropriate attitude and behavior related to patient safety. A safety culture is a product of group values and patterns of behavior determining their commitment to an organization’s management of health and...
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...Description of Theory: Nightingales theory is based on natural laws ("Current Nursing ", 2012). Florence Nightingale uses an environmental model. It is based on the idea that healing comes from within the individual. The emphasis of care is on placing that patient in an environment conducive to being and becoming well (Cruz, n.d.). She felt that nursing was a calling and defined it as an art and a science that requires a specific educational base of knowledge. She also went on to say that nursing was separate from medicine and that the goal of nursing was to place the patient in the best possible state in order for nature to work ("Current Nursing ", 2012). Nightingales concepts of nursing have directed both theoretical thought and nursing practice that are being utilized and practiced today (Daniels , 2003). Theory’s Historical background: Florence Nightingale is considered the founder of nursing and some say, to be the first nurse theorist ("Current Nursing", 2012). Alligood (2010) stated, “Nightingales work stemmed from a desire to serve humankind” (p. 84). Her work, during the Crimean War in Scutari, Turkey, and her later teachings, “will forever be linked with modern Nursing.” Nightingale has influenced three areas in modern day medicine; infection control, epidemiology, and hospice medicine. Nightingale cannot claim sanitation theories as her own; however, the improvements and changes that she had made were obvious, to the degree that infected patients were treated...
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...Nursing theory is assumed as the body of information, which is used to assist the nursing practice. Nursing models are created with theories and perceptions. They are used to assist nurses assess, plan and implement patient care by delivering an outline within which to work. Nursing models also assist the nurses to accomplish consistency and unified care. This presentation shall examine the importance of Dr. Jean Watson’s theory of caring in today’s nursing practice, its relation to metaparagidm concepts and how the theory help us to improve the current nursing practices. Watson delivers many valuable impressions for nursing practice. •Watson ties different theories together which are frequently being used in clinical nursing practice. •The comprehensive explanations of the care factors which can provide direction to the nurses who desire to train as a bedside nurse or do nursing research. “Her accomplishments are the following - Recipient of numerous awards counting: an international Kellogg Fellowship in Australia, a Fulbright Research Award in Sweden and six Honorary Doctoral Degrees, including 3 International Honorary Doctorates (Sweden, United Kingdom, and Quebec) She was the 1993 recipient of the National League for Nursing Martha E. Rogers Award, which identifies a nurse academic who has made substantial donations to nursing information that advances the science of caring in nursing and health sciences. New York University recognized her as a Distinguished Nurse...
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...Differences between ADN and BSN educated nurses. Florence nightingale’s influence on nursing practice and the way her model of nursing education was adopted in the nineteenth century triggered the beginning of enormous change in nursing as a profession. According to Creasia and Friberg ( 5th edition), nursing has evolved over the course of more than 150 years since inception of the first nightingale school. Since then, nursing continues to encounter numerous and complex challenges like nursing shortages, increase in communicable diseases, increase in auto immune infection, increase in aging population just to mention a few. Currently, in the US, one can become a registered nurse by several means. These are through attaining a hospital bases diploma, a 2-3 year associate degree or a 4 year baccalaureate degree. Nursing students in these different programs are eligible to sit for the National Council Licensure Examination (NCLEX). According to the American Association of Colleges of Nursing (AACN), passing the NCLEX only assures that the nurse has the minimum technical competency required to safely practice nursing. The Associate Degree program is shorter and more technical skill focused; the course does not include the classes on theory and science of nursing as a profession that are part of BSN programs. It is also cheaper and affordable, thus allowing an individual to start working early. The BSN empowers the future nurse with greater critical thinking and broader patient...
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...and Functions In today’s health care organizations medical care requires that a manager has knowledge and the abilities to manage within the medical care realm. A manager is anyone in an organization who supports and is responsible for the work performance of one or more other persons (1.3 Managing in the New Workplace, Ebook Collection Chapter 1). The management would include planning, arranging, leading, and controlling of a company. They may manage an entire facility or specialize in managing a specific clinical area or department. They may even manage a medical practice for a group of physicians. Health care managers generally work in office settings in healthcare facilities, including hospitals, nursing homes, and group medical practices. This is a very important position for any healthcare facility and must be near perfection to ensure that the organization runs smoothly. A health care manager should not be only able to make decisions about the staff but for the organization as a whole as well. Most important decisions are not cut and dried and that means having to think through the angles thoroughly, taking other people’s perspectives into account (The Guardian, 2012). Developing a quality work environment should take top priority as well as knowing all the important functions of an effective manager. Sometimes the functions of healthcare managers differ but generally all healthcare managers in any medical care company utilize the management process by being responsible...
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...myself had that same perception when I started nursing. After further research, I realized their differences. I feel gratified that I made the right decision to further my education to achieve my BSN. To break it down to basics, an ADN program is a 2-3 year program that fulfills the nurse education requirement of becoming a registered nurse (Types of Nurses, 2015). An ADN degree nurse critically thinks at a lower level, requiring more guidance from their RN supervisor and the MD in order to follow up and effectively treat their patients. ADNs have less education and knowledge regarding physical and social science, nursing research and study. They are more task-oriented for example: providing bedside care, passing medications, following MD orders, etc. Jobs with advancement and growth opportunities will be limited to the ADN. They are less likely to be chosen for management roles or medical research. On the other hand, the BSN program is a four-year college degree that prepares RNs for advanced career options in nursing specialty fields like pediatrics, geriatrics, surgical, ICU, etc. (Types of Nurses, 2015). It helps prepare the nurse for a broader scope of practice and provides a better understanding of the cultural, political, economic, social issues that affect patients and influence health care delivery (Types of Nurses, 2015). BSN nurses are recognized for their skills in critical thinking, leadership, case management,...
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...Document Management: A Core IT System Sentara Healthcare Winning the EHR Battle with Enterprise Content Management How Sentara Healthcare created a comprehensive EHR solution Featuring the results oF the Document management Survey June 2010 2 This article is based on a webinar presented by Hyland Software in May 2011. To view the on demand version of the webinar, please visit www.healthcareitnews.com Sentara’s EHR solution bridges the gap between paper and electronic documents A ssembling a full-scale, workable electronic health record system is like solving a puzzle. There are multiple pieces, variables and options to coordinate. System designers at Sentara Healthcare in Norfolk, Va., faced this situation in 2003 when they embarked on their own EHR quest. Ultimately, the team decided on a comprehensive, integrated solution and not a single-source technology to meet their needs. The result: Roughly $34.5 million in business savings and benefits as of 2009. Aaron Koehler, a senior software engineer at Sentara, the nation’s top integrated health system ranked by Modern Healthcare magazine, played a key role in the project. In a recent Healthcare IT News webinar sponsored by Hyland Software, Koehler explained that there’s no cookie-cutter approach to implementing an EHR system. Health care providers must carefully assess what configuration best meets their needs. For Sentara, among other things, that meant including an enterprise content management (ECM)...
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...Nursing is a fast growing profession. A registered nurse is required to be capable enough to adapt to the modern techniques, equipments, and knowledge based procedure. According to the Institute of Medicine nursing is one of the biggest workforces in healthcare. By starting a transformation in the nursing field, there can be change in the healthcare industry (Committee on the Robert Wood Johnson foundation 2011). The Institute of Medicine, on October 5, 2010, released their research based report “The Future of Nursing: Leading Change, Advancing Health” as a recommendation to improve nursing. Nurse must be able to provide the public accessible and high quality healthcare, there needs to be a higher standard of healthcare and highly educated nurses Impact of the IOM report on nursing education The education nurses acknowledged during the twentieth century are no longer adequate enough to handle the requirements of today’s healthcare. “Nurses should achieve higher levels of education and training through an improved education system that promotes flawless academic progression.”(Institute of Medicine, 2010). As the healthcare field moves forward, technology has played a major role. As technology advance, patient needs and healthcare setting have become more complex, nurses are required to acquire higher education to deliver high-quality and safe healthcare. Higher education in nursing includes Baccalaureate degree in Nursing, Doctorate in Nursing in Nursing Practice (Institute...
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...Collective Bargaining My Name here February 24, 2013 The University Collective Bargaining It is common to define collective bargaining as a negotiation between an employer and trade union. Collective bargaining, however simple that short definition may be, is a complex labor process defined by several discussion topics; collective bargaining is governed by strict definitions and rules, extensive long-standing laws that support it, and specific methods and people to administer agreements reached in the collective bargaining process. The best way to discuss collective bargaining is to approach each of these topics in order to round out the full spectrum of knowledge required to full understand and define collective bargaining with ease. In this paper, you will approach each of these complex topics with the intent of learning more about collective bargaining. The best approach is to begin by defining collective bargaining. Defining Collective Bargaining Collective bargaining is the process by which employers and a group of employees negotiate and agree upon the scope of employment relationships (wages, hours, working conditions, benefits, other employment terms). The employees are typically represented by a labor union in collective bargaining. In the US labor system, when collective bargaining leads to mutual agreement of the sides, the agreement terms become the basis of a Collective Bargaining Agreement (CBA) or union contract that is a legally enforceable...
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...the topic. At the Associate level the core knowledge to perform many, if not all, of the aspects of the nursing profession has been established. The Baccalaureate should be viewed more as an adjunct to the personal traits that lead an individual to the nursing profession. Taking the intrinsic need to care for the immediate medical issue and adding concepts that will establish a “wholistic” approach, ensuring a longer more fulfilling outcome. At the dawn of the twentieth century the nursing profession in the modern sense was in its infancy. Schools had been established based on the Nightingale model with the premise being that “pupil” nurses were trained on hospital wards under the watchful eye of a nursing superintendent (Friberg & Creasia, 2016). This method provided the basics of vocational-type training to provide hospitals with a less expensive but skilled workforce. As wonderful as this program was it started taking away from the “patient care aspect” as the role of a student nurse in a hospital-based school not only encompassed patient care but carrying out housekeeping tasks, preparing meals, cleaning wards and operating rooms, sterilizing instruments, and assisting physicians. Shortly after January of 1894, the national government released data stating that there were almost 109,000 “untrained nurses and midwives competing with 12,000 graduate nurses for nursing positions (Friberg & Creasia, 2016, p. 4). The graduates were primarily...
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...Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion Name: Course: Instructor’s Name Date: Introduction The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the today’s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patent’s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine...
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...supervisors view on leadership skills. I will compare my personal leadership skills in contrast to my supervisor’s ideals. Then I will identify my leadership skills and how they are applied in my nursing practice based on the findings of our exercise. The development of modern nursing in the areas of education, philosophy, and wisdom has evolved with help form many nursing leaders. The complex and dynamic nature of global health care is constantly changing and providing new opportunities in the nursing profession. In today’s world, nurses assume many responsibility specifically leadership and management in the work place. The leadership roles extent from bedside nursing to the nurse executive with their ultimate focus on the patient’s comfort and care. To be a successful leader one should posses qualities of responsibility, honesty, effective communication, and good judgment with problem solving skills. A nurse leader not only can make a difference in patient’s life but can also create a teamwork environment with open communication, feedback, and goal accomplishment. In order to become an effective leader one should identify their own strengths and weaknesses to improve patient’s outcome. Thus, by sharing knowledge and collaborating with professors, managers, and peers; the nursing leader is there for increasing his/her leadership skill. Strength Quest Findings The signature themes that identified my profile in the exercise were the learner, responsibility, developer...
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...Evidence Based Practice: Aseptic Technique for Peripheral IV Insertion Name: Course: Instructor’s Name Date: Introduction The significance of asepsis in the intravenous IV therapy is integral in the modern patient care because of the increased patients number requiring IV therapy due to changes in patterns of prescription and the today’s illnesses which has acute nature (Bofah et al, 2012). Peripheral Intravenous Cannulation according to Bofah et al (2012), is a procedure in which patent’s skin is punctured with a needle allowing a device to be temporarily inserted into the hand or forearm veins in administering intravenous medications or fluids, although other body sites can be used. It is vital to use intravenous drugs in the management of the patients who are hospitalized. The infections linked to the intravenous therapy may affect the blood stream or the skin around the insertion site of the catheter (Bofah et al, 2012). For this reason, Bofah et al (2012) suggested that general infection control and universal precautions measures need to be taken into considerations when undertaking a clinical procedure. However, specific measures need to be taken into consideration when administering intravenous therapy especially those in the home setting and the vulnerable patients. Kampf et al (2013) conducted an observational intervention study on “Improving Patient Safety during the Insertion of Peripheral Venous Catheters. The aim of the study was to determine the...
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...written by Sandra Gibson: E N H A N C I N G: Intergenerational Communication in the Classroom: Recommendations for Successful Teacher-Student Relationships and article written by Lynn Lancaster and David Stillman: From World War I to the World Wide Web: traditionalists, baby boomers, generation Xers and Millennials at work. The article written by Lynn Lancaster and David Stillman: “From World War I to the World Wide Web: traditionalists, baby boomers, generation Xers and millennials at work” is an excerpt from a book written by Lancaster and Stillman entitled , “When Generations Collide: Who They Are. Why They Clash. How to Solve the Generational Puzzle at Work.” This article discusses four separate distinct generations that make up the modern day workforce. The Traditionalists or individuals born between 1900 and 1945 make up approximately seventy-five million people. The largest population ever born in this country, the Baby Boomers, born between 1946-1964, total approximately eighty million. The smallest numbered group of approximately forty-six million, the Generation Xers, were born between 1965-1980, and the Millennials, born between 1981-1999, make up of approximately seventy-six million. Lancaster and Stillman, (2003). Sandra Gibson in her article, “E N H A N C I N G: Intergenerational Communication in the Classroom: Recommendations for Successful Teacher-Student Relationships”, discusses how the generations differ. Traditionalists, many of which have made up the...
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